The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Liu Wei Di Huang Wan is a 6-ingredient Chinese Medicine formula with Prepared Rehmannia (Shu Di huang) as a principal ingredient.
Invented in 1119 AD, it belongs to the category of formulas that nourish Yin and tonify. Its main action is that it enriches the yin and nourishes the Kidneys.
In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.
In this case Liu Wei Di Huang Wan is used by TCM practitioners to fight patterns like Blood Deficiency, Yin Deficiency or Liver Yang Rising. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as late menstruation, irregular menstruation or menopausal syndrome for instance.
On this page, after a detailed description of each of the six ingredients in Liu Wei Di Huang Wan, we review the patterns and conditions that Liu Wei Di Huang Wan helps treat.
Shu Di huang is a king ingredient in Liu Wei Di Huang Wan. Like the name indicates, it means it has more power than other ingredients in the formula.
Part used: Prepared dried root tuber
Category: Tonic herbs for Blood Deficiency
In general Shu Di huang's main actions are as follows: "Tonifies the Blood. Tonifies the Yin of the Kidneys."
Shan Zhu Yu is a deputy ingredient in Liu Wei Di Huang Wan. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.
Part used: Dried ripe sarcocarp
Category: Herbs that stabilize and bind
Shan Zhu Yu nourishes the Liver and restrains the leakage of Essence. It performs the latter function by inhibiting the improper dispersion and drainage through the Liver, thereby enabling the Essence to build up in the Kidneys. For this to occur, a substance with the strong, Essence building properties of the key herb (Prepared rehmannia) is also required.
Shan Yao is a deputy ingredient in Liu Wei Di Huang Wan. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.
Part used: Dried rhizome
Category: Tonic herbs for Qi Deficiency
Shan Yao stabilizes the Essence by tonifying the Spleen, which is the source of post-heaven Essences Indeed, to reinforce Essence and improve its function, the Spleen (the source of postnatal Essence) must function properly.
Ze Xie is an assistant ingredient in Liu Wei Di Huang Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.
Part used: Dried tuber
Category: Herbs that drain Dampness
Ze Xie clears and drains the overabundance of Kidney Fire. It is used here to prevent the rich, cloying properties of the key herb (Prepared rehmannia) from congesting the mechanisms of the Kidneys, which would induce even more Heat from Deficiency.
Mu Dan Pi is an assistant ingredient in Liu Wei Di Huang Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.
Part used: Root barks
Category: Herbs that cool the Blood
Fu Ling is an assistant ingredient in Liu Wei Di Huang Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.
Part used: Dried sclerotium
Category: Herbs that drain Dampness
Fu Ling is a bland herb that leaches out Dampness from the Spleen. It notably helps Yam (Shan Yao) strengthen the transportive functions of the Spleen. This prevents the formula from clogging up the digestive process and reinforces the Spleen's function of nourishing the body. Poria-cocos mushrooms also works together with the Water plantain (Ze Xie) to improve the metabolism of Fluids and promote urination, thereby preventing a buildup of stagnant Fluids.
It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.
As such Liu Wei Di Huang Wan is used by TCM practitioners to treat twelve different patterns which we describe below.
But before we delve into these patterns here is an overview of the Western conditions they're commonly associated with:
Late menstruation Irregular menstruation Menopausal syndrome Menstrual cramps Absence of menstruation Intermenstrual bleeding Chronic nephritis Prostate diseases Chronic glomerulonephritis Urinary tract infection Renal tuberculosis Diabetes mellitus Hyperthyroid Diabetes insipidus Hypertension Atherosclerosis Coronary artery disease Perimenopausal syndrome Abnormal uterine bleeding Cataract Glaucoma Central retinopathy Optic nerve atrophy Optic neuritis Retarded growth in children Neurasthenia Pulmonary tuberculosis Chronic hepatitis Cirrhosis Failure to thrive
Again it wouldn't be correct to say "Liu Wei Di Huang Wan treats late menstruation" for instance. Rather, Liu Wei Di Huang Wan is used to treat patterns that are sometimes the root cause behind late menstruation.
Now let's look at the twelve patterns commonly treated with Liu Wei Di Huang Wan.
Blood (Xue) is one of Chinese Medicine's vital subtances. Learn more about Blood in Chinese Medicine
Pulse type(s): Choppy (Se), Fine (Xi)
Tongue color: Pale
Symptoms: Insomnia Tingling Dry skin Dry hair Dry lips Dizziness Pale lips Thin body Pale face Amenorrhea Depression Poor memory Late period Palpitations Scanty periods Blurred vision Pale complexion Slightly anxiety Tingling of limbs Pale menstrual blood Lower abdominal pain Numbness in the limbs Dull white shallow face Feeling of bearing down Withered and brittle nails
Liu Wei Di Huang Wan is sometimes prescribed by TCM practitioners to treat Blood Deficiency. This pattern leads to symptoms such as dizziness, scanty periods, amenorrhea and dull white shallow face. Patients with Blood Deficiency typically exhibit choppy (Se) or fine (Xi) pulses as well as Pale, thin and slightly tongue .
A Deficiency of Blood occurs when their entire body, a part of body or a particular Organ is insufficiently nourished by Blood. This can be caused by a loss of blood, insufficient Spleen Qi to produce Blood or congealed Blood which prevents new Blood from forming.
The Organs most likely to be... read more about Blood Deficiency
'Deficient' as a body pattern in Chinese Medicine is one of the so-called "Eight Principles". Learn more about Deficiency / Empty in Chinese Medicine
Pulse type(s): Rapid (Shu), Empty (Xu)
Tongue coating: Thin white coating
Tongue color: Red
Symptoms: Jumpy Thirst Anxiety Insomnia Weakness Thin body Dizziness Headaches Dry cough Dry stools Poor memory Malar flush Night sweats Irritability Flushed nose Restlessness Five palm heat Nocturnal emissions Sore throat at night Scanty dark urination Dry mouth and throat at night Desire to drink in small sips Low-grade fever in the afternoon Pain relieved by pressure and cold
Liu Wei Di Huang Wan is sometimes prescribed by TCM practitioners to treat Yin Deficiency. This pattern leads to symptoms such as five palm heat, thin body, sore throat at night and thirst. Patients with Yin Deficiency typically exhibit rapid (Shu) or empty (Xu) pulses as well as Red or normal color without coating or with a thin shiny tongue body.
In the case of Yin Deficiency, the body is lacking in its cooling, moistening and nurturing aspects. This leads to Heat and Dryness accompanied by weakness and lack of strength and resistance. The Heat of the Yang gets more obvious because Yin is lacking and it cannot control Yang. Fire gets out of... read more about Yin Deficiency
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Pulse type(s): Wiry (Xian)
Tongue color: Red
Symptoms: Tinnitus Deafness Insomnia Headaches Dizziness Dry mouth Dry throat Stiff neck Dry stools Irritability Blurred vision Stiff shoulder Feeling work-up Stiff upper back Outbursts of anger Soreness and weakness of the knees Stiffness in the neck shoulder and upper back
Liu Wei Di Huang Wan is sometimes prescribed by TCM practitioners to treat Liver Yang Rising. This pattern leads to symptoms such as headaches, dizziness, tinnitus and deafness. Patients with Liver Yang Rising typically exhibit wiry (Xian) pulses as well as Pale, normal or slightly red on the sides with no coating.
Long term Deficiency of Liver Yin, Liver Blood or Kidney Yin can cause Liver Yang rising upwards. This pattern is also called "Arrogant Liver Yang". If left unchecked for many years, it can lead to Liver Wind Agitating Internally.
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Symptoms: Insomnia Tinnitus Dizziness Dry throat Dry stools Malar flush Night sweats Bloody urine Restlnessness Five palm heat Lower back pain Diminished hearing Nocturnal emissions Scanty and dark urine Excessive sexual desire Feeling of heat in the evening Low-grade fever in the afternoon Feeling of heat in the afternoon Thirst with desire to drink in small sips
Liu Wei Di Huang Wan is sometimes prescribed by TCM practitioners to treat Kidney Yin Deficiency With Empty-Heat Blazing. This pattern leads to symptoms such as malar flush, restlnessness, insomnia and night sweats. Patients with Kidney Yin Deficiency With Empty-Heat Blazing typically exhibit rapid (Shu), empty (Xu) or floating (Fu) pulses.
This pattern is when Kidney Yin Deficiency, because of the depletion of Fluids and Essence (both Yin in nature), has given rise to pronounced Empty-Heat with symptoms such as night sweats, thirst, five palm heat, dry throat at night, scanty urine and dry stools.
The afternoon fever is typical of... read more about Kidney Yin Deficiency With Empty-Heat Blazing
The Interior in Chinese Medicine is one of the so-called "Eight Principles". Learn more about Interior in Chinese Medicine
Pulse type(s): Fine (Xi), Rapid (Shu), Wiry (Xian)
Symptoms: Coma Tics Fever Anger Tremor Insomnia Dry eyes Red eyes Red face Deafness Dizziness Paralysis Headaches Back pain Dry throat Convulsions Poor memory Irritability Constipation Eye deviation Blurred vision Scanty periods Tremor of limbs Mouth deviation Numbness in the limbs Dream disturbed sleep
Liu Wei Di Huang Wan is sometimes prescribed by TCM practitioners to treat Interior Wind. This pattern leads to symptoms such as convulsions, tremor of limbs, dizziness and paralysis. Patients with Interior Wind typically exhibit fine (Xi), rapid (Shu) or wiry (Xian) pulses.
Interior Wind is mostly referred to be the Liver Wind. There are 4 types of Interior Liver Wind due to the original causes:
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